Free Your Mind Therapy LLC
NPI 1154001469 · Clinical Social Worker · Bolivar, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Free Your Mind Therapy LLC is a Clinical Social Worker organization in Bolivar, MO (NPI 1154001469).
Provider details
- NPI number
- 1154001469
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Robertson, Founder/Managing Member(417) 414-0676
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Peaceful Path Counseling & Associates Inc.
Additional practice locations (1)
- 729 Main StCanon City, CO 81212-3738Phone: (719) 345-2267Fax: (844) 222-4909
Registry dates
- Enumerated
- 2023-07-20
- Last updated
- 2026-04-04
- Certified
- 2026-04-04
Frequently asked questions
- What is Free Your Mind Therapy LLC's NPI number?
- Free Your Mind Therapy LLC's National Provider Identifier (NPI) is 1154001469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Free Your Mind Therapy LLC?
- Free Your Mind Therapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Free Your Mind Therapy LLC located?
- Free Your Mind Therapy LLC's practice location on file with NPPES is 910 E San Martin St Ofc 2, Bolivar, MO 65613-2893.
- What is Free Your Mind Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Free Your Mind Therapy LLC is (417) 414-0676.
- Does Free Your Mind Therapy LLC accept Medicare?
- Free Your Mind Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Free Your Mind Therapy LLC?
- The authorized official listed on Free Your Mind Therapy LLC's NPPES record is Kimberly Robertson, Founder/Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Free Your Mind Therapy LLC's NPI active?
- Yes — Free Your Mind Therapy LLC's NPI (1154001469) is active in the NPPES registry as of the last update on 2026-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.